Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $25.12 / $30.90	Facility		$12.88	$25.12	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.91 / $12.88	Professional		$7.08	$8.91	$12.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $30.20 / $30.90	Facility		$24.55	$30.20	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $45.71	Professional		$5.62	$5.62	$45.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Facility		$8.71	$8.71	$8.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $37.15 / $58.88	Facility		$31.62	$37.15	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.60 / $35.48	Professional		$13.18	$16.60	$35.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $24.55 / $91.20	Facility		$10.00	$24.55	$91.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $10.72 / $100.00	Facility		$8.91	$10.72	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $9.33 / $25.70	Professional		$6.61	$9.33	$25.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $22.39 / $64.57	Professional		$5.62	$22.39	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $28.84 / $39.81	Professional		$14.45	$28.84	$39.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $100.00 / $100.00	Facility		$22.39	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.59 / $10.96	Professional		$6.03	$7.59	$10.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $23.99	Professional		$11.75	$11.75	$23.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $46.77 / $69.18	Professional		$11.75	$46.77	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $10.00 / $13.49	Facility		$8.51	$10.00	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $9.12 / $28.18	Professional		$4.79	$9.12	$28.18